Mindfulness-based Training Research Articles

Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience.

Mindfulness in Motion (MIM) is a workplace resilience-building intervention that has shown reductions in perceived stress and burnout, as well as increased resilience and work engagement in health care workers. To evaluate effects of MIM delivered in a synchronous virtual format on self-reported respiratory rates (RR), as well as perceived stress and resiliency of health care workers. Breath counts were self-reported by 275 participants before and after 8 weekly MIM sessions. MIM was delivered virtually in a group format as a structured, evidence-based workplace intervention including a variety of mindfulness, relaxation, and resilience-building techniques. Participants counted their breaths for 30seconds, which was then multiplied by 2 to report RR. Additionally, participants completed Perceived Stress Scale and Connor-Davidson Resiliency Scale. According to mixed effect analyses there were main effects of MIM Session (P < .001) and Weeks (P < .001), but no Session by Week interaction (P = .489) on RR. On average, RR prior to MIM sessions were reduced from 13.24bpm (95% CI = 12.94, 13.55bpm) to 9.69bpm (95% CI = 9.39, 9.99bpm). When comparing average Pre-MIM and Post-MIM RR throughout the MIM intervention, Week-2 (mean = 12.34; 95% CI = 11.89, 12.79bpm) was not significantly different than Week-1 (mean = 12.78; 95% CI = 12.34, 13.23bpm), but Week-3 through Week-8 demonstrated significantly lower average Pre-MIM and Post-MIM RR compared to Week-1 (average weekly difference range: 1.36 to 2.48bpm, P < .05). Perceived stress was reduced from Week-1 (17.52 ± 6.25) to after Week-8 (13.52 ± 6.04; P < .001), while perceived resiliency was increased from Week-1 (11.30 ± 5.14) to after Week-8 (19.29 ± 2.58); P < .001). Thus far, completion of MIM sessions has shown acute and long-term effects on self-reported RR, but more research is required to determine the extent of improved parasympathetic (relaxed) states. Collectively, this work has shown value for mind-body stress mitigation and resiliency-building in high stress acute health care environments.

The relationship between perceived stress and emotional intelligence in Moroccan nursing students.

Nursing students are subjected to many stressors during their clinical practicums. Emotional intelligence (EI) could act as a real stress regulator. In this perspective, we sought to study the relationship between stress and EI in a sample of Moroccan nursing students. This study was conducted using the descriptive correlational method. The statistical population consisted of the nursing students of the Higher Institute of Nursing Professions and Health Techniques of Tetouan in Morocco during the academic year 2021-2022. Among them, 146 participants were selected on the basis of simple random sampling. Participants completed a self-administered questionnaire addressing sociodemographic factors, perceived stress (the Perceived Stress in Clinical Practice Scale), and emotional intelligence (Wong and Law Emotional Intelligence Scale test). Descriptive statistics were used and Pearson's correlation coefficient was applied to assess the correlation between stress and EI, and to compare them according to socio-demographic characteristics. A linear regression analysis was calculated to analyze the effect of independent variables on perceived stress and EI. For the analysis, a level of 0.05 was chosen. The overall mean age of the students was 20.02 ± 1.12 years. Participants had moderate levels of perceived stress (M = 2.42 ± 0.77) and high levels of EI (M = 3.79 ± 1.09). A significant positive correlation between perceived stress and EI was found (r = 0.741, P < 0,05). The regression model shows that EI, education level, and clinical practice setting can explain changes in perceived stress levels and are effective and significant factors (P < 0,001). EI has been shown to be a protective factor against stress in nursing students. Those with well-developed EI have lower levels of stress. Therefore, it is suggested that a mindfulness-based training program be incorporated into the nursing curriculum to develop emotional skills and combat stress in students.

Effects of mindfulness-based stress reduction training on rumination in patients with breast cancer

BackgroundBreast cancer has been a serious public health dilemma for women worldwide, with not only physical and social impairments but also psychological stress responses such as rumination. Rumination is a constant preoccupation with thoughts. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction training in lowering rumination among women diagnosed with breast cancer.MethodThis randomized controlled trial with a pretest, posttest, control group, and one-month follow-up design included 46 female breast cancer survivors, recruited from the clinics and hematology wards of Bushehr, Iran. The inclusion criterion was that at least three months should have passed since the last chemotherapy/radiotherapy. The participants were randomly assigned to two experimental and control groups. The experimental group received eight sessions of mindfulness-based stress reduction training. A demographic information form and a rumination questionnaire were used for data collection, and the participants completed the questionnaire in the pretest, posttest, and follow-up stages. Chi-square, Mann–Whitney U, and repeated-measures ANOVA were used to analyze the data. P < 0.05 was considered statistically significant.ResultsThere was no significant difference in the rumination scores of the experimental group at three measurement stages. For the control group, the mean rumination scores on the posttest and follow-up were both significantly higher than on the pre-test (P < 0.001). The control group's mean follow-up rumination score was significantly higher than that of the post-test (P = 0.02). A comparison of the two groups adjusted for the baseline showed a significant difference between them in terms of the mean rumination score on the post-test (P = 0.01) and follow-up (P < 0.001).ConclusionThe experimental group was more successful in avoiding increased rumination than the control group, an ability that can be attributed to the effect of mindfulness training. The use of this method is recommended because it is non-invasive, non-pharmacological, free from complications, and can be easily performed by women. However, future studies should consider larger samples and long-term follow-ups.

Depressive and anxiety disorders in the cardiological conditions: psychological interventions

Cardiovascular disease (CVD) remains a leading cause of mortality worldwide, despite diagnostic and pharmacological advances. These adverse effects lead to the search for new etiological factors and effective ways to prevent, treat and rehabilitate CVD. The impact of psychological factors on the development of CVD has gained scientific recognition. Mental and mood disorders, such as depressive disorders, anxiety disorders, and post-traumatic stress disorder (PTSD), can contribute to CVD and significantly affect the quality of life and prognosis of a CVD patient, often contributing to premature death. Therefore, it is essential to study the socio-demographic and psychosocial factors that are most likely to support pro-health behaviour and identify effective psychotherapeutic interventions for CVD patients. These findings result in new interventions, such as meta-cognitive therapy and mindfulness-based training, which promote healthy behaviours and improve clinical conditions and prognosis in CVD patients.

An experimental approach to training interoceptive sensitivity: study protocol for a pilot randomized controlled trial

BackgroundEating in absence of hunger is quite common and often associated with an increased energy intake co-existent with a poorer food choice. Intuitive eating (IE), i.e., eating in accordance with internal hunger and satiety cues, may protect from overeating. IE, however, requires accurate perception and processing of one’s own bodily signals, also referred to as interoceptive sensitivity. Training interoceptive sensitivity might therefore be an effective method to promote IE and prevent overeating. As most studies on eating behavior are conducted in younger adults and close social relationships influence health-related behavior, this study focuses on middle-aged and older couples.MethodsThe present pilot randomized intervention study aims at investigating the feasibility and effectiveness of a 21-day mindfulness-based training program designed to increase interoceptive sensitivity. A total of N = 60 couples participating in the NutriAct Family Study, aged 50–80 years, will be recruited. This randomized-controlled intervention study comprises three measurement points (pre-intervention, post-intervention, 4-week follow-up) and a 21-day training that consists of daily mindfulness-based guided audio exercises (e.g., body scan). A three-arm intervention study design is applied to compare two intervention groups (training together as a couple vs. training alone) with a control group (no training). Each measurement point includes the assessment of self-reported and objective indicators of interoceptive sensitivity (primary outcome), self-reported indicators of intuitive and maladaptive eating (secondary outcomes), and additional variables. A training evaluation applying focus group discussions will be conducted to assess participants’ overall acceptance of the training and its feasibility.DiscussionBy investigating the feasibility and effectiveness of a mindfulness-based training program to increase interoceptive sensitivity, the present study will contribute to a deeper understanding of how to promote healthy eating in older age.Trial registrationGerman Clinical Trials Register (DRKS), no. DRKS00024903. Retrospectively registered on April 21, 2021.

Functional Improvements 6+ Months After GOALS Training Predicted Decreased PTSD Symptoms Among Veterans with PTSD/mTBI

<h3>Research Objectives</h3> To examine whether long-term improvements in functional outcomes following Goal-Oriented Attentional Self-Regulation (GOALS) training predicts changes in PTSD symptoms among veterans with comorbid PTSD and mild TBI (mTBI). <h3>Design</h3> Archival data from a randomized-controlled, evaluator-blinded, trial for GOALS executive function training. Assessments of daily and emotional functioning were completed at baseline and 6 months post-treatment. <h3>Setting</h3> VA Medical Center. <h3>Participants</h3> 24 veterans with a history of chronic mTBI and a confirmed diagnosis of PTSD that completed GOALS training. <h3>Interventions</h3> GOALS is a cognitive rehabilitation intervention that incorporates mindfulness-based attention regulation training, and goal management strategies applied to participant-defined goals. It consists of ten 2-hour sessions administered in small group format, and three individual 1-hour sessions. <h3>Main Outcome Measures</h3> The Mayo-Portland Adaptability Inventory (MPAI) and PTSD Checklist, Military Version (PCLM) were chosen from archival data collected from the original study. <h3>Results</h3> Paired-samples T-Tests indicate significant improvements 6 months post GOALS training in total PTSD symptoms on PCLM-Total (p=.007), Re-experiencing (p=.009) and Hyperarousal (p=.002). There were also significant improvements in overall functioning on MPAI-Total (p=.007), including Participation (e.g. initiation, socialization, employment; p=0.01) and Ability (e.g. problem solving, memory, attention; p=0.014) 6 months post GOALS training. Results from simple linear regressions indicate that improved MPAI-Participation 6 months post GOALS training predicted decreases in PCLM-Hyperarousal (R²=.29), PCLM-Avoidance (R²=.20), and PCLM-Reexperiencing (R²=.17). Further, improved MPAI-Ability also predicted decreases in PCLM-Hyperarousal (R²=.19), PCLM-Avoidance (R²=.27), and PCLM-Reexperiencing (R²=.18). <h3>Conclusions</h3> Persistence of improvements in functional abilities 6+ months after GOALS training predicted decreased PTSD symptoms in Veterans with mTBI and PTSD. The results highlight the impact functional status has on emotional functioning, and suggest that improvements in functional abilities following cognitive rehabilitation training may strengthen emotional regulation skills, resulting in decreases in emotional distress. <h3>Author(s) Disclosures</h3> None.

Protocol of a randomized controlled trial to investigate the efficacy and neural correlates of mindfulness-based habit reversal training in children with Tourette syndrome.

Tourette syndrome (TS) is a developmental neuropsychiatric disorder. Behavior therapy, especially habit reversal training (HRT), has gradually become regarded as one of the core therapies for TS. Mindfulness approaches can improve psychological adjustment and reduce stress and anxiety, suggesting potential benefits when incorporated into behavior therapy. To improve the efficacy of HRT, we combined it with mindfulness, an approach named mindfulness-based habitual reversal training (MHRT). The aim of this protocol is to investigate the efficacy and neural mechanisms of MHRT for TS. We will perform a randomized control trial (RCT) to evaluate the efficacy and neural mechanisms of MHRT. The sample will include 160 participants (including 120 patients with TS and 40 healthy controls). The patient sample will be randomly divided into three groups exposed to three different types of training: MHRT, HRT, and psychoeducation and supportive therapy (PST). Participants will be assessed and undergo resting-state fMRI scans at baseline and at the end of the 12-week training. The Yale Global Tic Severity Scale (YGTSS) and Premonitory Urge for Tic Scale (PUTS) will be used to assess the severity of tic symptoms and premonitory urges. The primary outcomes are change scores on the YGTSS and other assessments from baseline and the end of the training. The secondary outcomes are the neural correlates of these trainings among these groups based on graph theory, which is used to characterize brain functional connectivity networks. The default mode network (DMN) and the salience network (SN) will be assessed (which have been associated with mindfulness as well as the generation of tic symptoms) by network parameters, including clustering coefficients and shortest path lengths. Changes in these network parameters will be regarded as the neural correlates of the behavioral training. MHRT was newly developed for the treatment of TS. MHRT may lead to greater reductions in tic severity than traditional HRT. Changes in the network parameters of the DMN and SN may show associations with the efficacy of MHRT. http://www.chictr.org.cn, ChiCTR2100053077, China.

Training transversal competences in a bachelor’s degree in translation and interpreting: preliminary evidence from a clinical trial

ABSTRACT Transversal competences are now essential not only for employability but for the well-being of students, and thus for society as a whole. However, these competences are not commonly taught or researched as part of higher education degree programmes. This evidently leads to a gap between ideal teaching goals and what students actually learn in their undergraduate studies. To meet this need, a psychoeducational intervention was designed and implemented in an undergraduate programme in translation and interpreting within the framework of a teaching innovation project. The impact of this intervention was tested on transversal competences such as emotional intelligence and regulation, creativity, psychological distress, and cultural intelligence, among others. This parallel exploratory study compared the effectiveness of two mindfulness-based programmes. In both mindfulness-based training programmes, the preliminary results seemed to indicate an improvement in these transversal competences. Limitations of the study were the design, sample size, and the restrictions imposed by the COVID-19 pandemic. The results of our study led to recommendations for degree programme design as well as a platform for discussion and debate on the relationship between higher education, competence-based training, and social demands. The clinical trial was registered with www.clinicaltrials.gov (NCT04392869).

“One of the Most Precious Experiences I Have Had as a Teacher!” Embodied Mindfulness and Compassion Nurture Addiction-Preventive and Pro-Democratic Life Skills and Relationships Between Teachers and Students - A Phenomenological Exploration

In this study, we present the results of a 48-hour mindfulness-based and compassion-based training for teachers (N = 59). This study included 3,250 students in two years. We strengthened the resources of teachers and students for health, especially for preventing addiction. The didactic approach was based on the concepts of embodiment and resonance. We first trained teachers and then encouraged them to teach students in the classroom. Qualitative data were collected on the presence of teachers, relationship building, teaching performance, and teaching content, as well as, on the effects on the students. The results of the qualitative evaluation suggest that potentially addiction-preventive qualities and life skills of the teachers, such as (self)compassion, self-regulation, and connectedness, were strengthened. After training, all teachers included mindfulness-based and compassion-based methods in their teaching. Feedback from the students indicated that these characteristics of the teachers had a life-skill-enhancing effect on the children. We discuss these results in the context of personality development, the prevention of addiction, and cultural changes for developing a healthier, more participatory, and democratic society.

THE EFFECT OF A MINDFULNESS TRAINING PROGRAM ON PERCEIVED STRESS AND EMOTIONAL INTELLIGENCE AMONG NURSING STUDENTS IN MOROCCO: AN EXPERIMENTAL PILOT STUDY

Mindfulness-based stress reduction has been shown to be effective in reducing stress levels and developing emotional competencies in nursing students, however, in some countries such as Morocco, this practice remains unexplored. The purpose of this study is to examine the effect of a mindful- ness-based stress reduction program on nursing students. The study used a quasi-experimental design in a single pre- test-post-test group with 20 nursing students from the Higher Institute of Nursing Professions and Health Techniques of Tetouan. Data were collected using a personal information form, the Perceived Stress Scale in Clinical Practicum (PSS- CP), and the Emotional Intelligence Scale (EIS). The results of the study indicate that the students' mean score on the PSS-CP scale was 2.19 ± 1.35 in the pretest, but decreased to 1.89 ± 1.28 in the posttest (p &lt; .05). While the students' mean EIS score was 3.44 ± 1.26 in the pretest, it in creased to 3.76 ± 1.19 in the posttest (p &lt; 0.05). A statistically significant relationship was found between perceived stress and EIS scores (r = 0.864, p &lt; 0.05). Mindfulness-based stress reduction program training can improve psychological health by developing emotional competence and reducing stress in nursing students.

Comparison of the Effectiveness of Spirituality Therapy and Mindfulness-Based Training in Promoting Resilience of Multiple Sclerosis Patients

Background: Chronic diseases such as multiple sclerosis (MS) can lead to hopelessness, negative emotions and thoughts, and reduced quality of life. The present study aimed to compare the effectiveness of spirituality therapy and mindfulness-based training in increasing the resilience of MS patients. Methods: The present study was a quasi-experimental study adopting a pre-test, post-test, and follow-up design with a control group. The statistical population of this study included all patients referring to the MS Association of Tehran in 2018. Using a convenience sampling method, 60 patients were selected and randomly divided into three groups. Data were collected using the Connor‐Davidson Resilience Scale (CD‐RISC) and analyzed adopting repeated measure analysis of variance. Data were analyzed by SPSS 22 software. Results: The results of repeated measure analysis of variance showed that spirituality and mindfulness-based interventions exerted effect on resilience (P≥0.008). Comparing the results also revealed that spirituality therapy had more powerful effect on resilience (P≥0.001). Conclusion: It was concluded that spirituality therapy and mindfulness-based training were both effective in promoting resilience in MS patients; however, spirituality therapy was found to be more effective in increasing the MS patients’ resilience.

The Effectiveness of Mindfulness-Based Stress Reduction Training at the Peak of COVID-19 Epidemic on Stress in Abused and Unaccompanied Adolescents in the Correctional Center

Background: The purpose of this study is investigating the effectiveness of mindfulness-based stress reduction training in reducing post-traumatic stress and its effects at the peak of the COVID-19 epidemic in abused and unattended adolescents in correctional centers. Methods: The present study was a quasi-experimental study with a pretest and posttest design in a control group. The statistical population of the present study consisted of all abused and unaccompanied adolescents in correctional centers. The sampling method was convenient, and 30 adolescents were selected based on the inclusion criteria and randomly assigned to two groups of 15 (experimental and control). Withers et al.'s (1993) list of post-traumatic stress disorder was used to collect data. Results: For statistical analysis of data, covariance analysis and independent t-test were used with the help of SPSS software. The results showed a significant difference between the control and experimental groups (P &lt; 0.05) in such a way that the stress reduction training based on stress mindfulness after the accident had a direct and significant effect at the 95% confidence level. Conclusions: Considering that badly-supervised and unsupervised teenagers are a vulnerable segment of society, mindfulness training is a suitable way to reduce future harm.

The efficacy of mindfulness-based life skill training on parent-child relationship among parents of children with mild intellectual disability

The efficacy of mindfulness-based life skill training on parent-child relationship among parents of children with mild intellectual disability

DEcrease STress through RESilience training for Students (DESTRESS) Study: Protocol for a randomized controlled trial nested in a longitudinal observational cohort study

IntroductionChronic stress and burnout are highly prevalent among academically trained healthcare professionals, negatively affecting their well-being and capacity to engage in their work. Resilience to stress develops early in one's career path, hence offering resilience training to university students in these professions is one approach to fostering well-being and mental health. The aim of this study is to assess whether offering mindfulness-based resilience training to university students in healthcare professions reduces their perceived chronic stress. Methods and analysisThe study has a hybrid design combining a longitudinal observational cohort with a nested randomized controlled trial (RCT) with sequential multiple assignment and multistage adaptive interventions while taking participants' preferences into account. All students in healthcare related programmes at the Erasmus University Rotterdam are invited to participate. Within the observational cohort, students with a score of 14 or higher on the Perceived Stress Scale (PSS) are invited to take part in the RCT (n = 706). Eligible participants are randomized to control or active intervention in a ratio of 1:6. Those randomized to the control group and non-randomized participants in the cohort receive passive web-based psychoeducation about chronic stress and burnout through referral to specific websites. Participants randomized to the intervention group receive one of 8 active mindfulness-based interventions. They select a rank order of 4 preferred interventions and are randomized across these with equal probability. Non-response to the intervention is followed by sequential randomized assignment to another intervention, for a total maximum of 3 sequential interventions. All participants receive questionnaires at baseline, before and after each 8-week intervention period, and at 1- and 2-year follow-up. The primary outcome is perceived chronic stress measured with the PSS. Secondary outcomes include mental well-being, burnout, quality of life, healthcare utilization, drug use, bodyweight, mental and physical stress-related symptoms, resilience, and study progress. Ethics and registrationApproval from the Medical Ethics Review Committee was obtained under protocol number MEC-2018-1645. The trial is registered in the Netherlands National Trial Register by registration number NL7623, 22/03/2019, https://www.trialregister.nl/.

The Effectiveness of Mindfulness-based Stress Reduction Training on Enduring Helplessness, Failure and Anger Control in Women with High Blood Pressure

The Effectiveness of Mindfulness-based Stress Reduction Training on Enduring Helplessness, Failure and Anger Control in Women with High Blood Pressure

REACH: A Required Curriculum to Foster the Well-Being of Medical Students.

The extent of medical student unwellness is well documented. Learner distress may impact patient care, workforce adequacy, and learners' performance and personal health. The authors describe the philosophy, structure, and content of the novel REACH (Recognize, Empathize, Allow, Care, Hold each other up) curriculum and provide a preliminary evaluation. The REACH curriculum is a mandatory, longitudinal well-being curriculum for first- and second-year medical students at the Medical College of Wisconsin (MCW) designed to prepare them for the emotional life of being a physician. The curriculum uses a framework, core concepts, and skills from the field of trauma stewardship. It builds on effective medical student well-being interventions (e.g., mindfulness-based training) and the sharing of personal stories by instructors during didactic and small-group sessions that are integrated into the regular MCW curriculum. During the first 2 years of implementation (2018-2019 and 2019-2020), the curriculum was evaluated using mid- and postcurriculum student surveys. Over 700 students have completed the REACH curriculum as of March 2022. Overall, most students who responded to the surveys in 2018-2020 reported that they felt the REACH curriculum material was important, that the curriculum met their expectations for a quality medical school course, and that they would recommend other schools incorporate a similar curriculum. Respondents to the 2019-2020 postcurriculum survey indicated the REACH curriculum helped them develop self-care (84% [85/101]), mindfulness (76% [76/101]), and help-seeking (71% [72/101]) skills. The initial outcomes show that integrating a mandatory well-being curriculum is feasible and acceptable to medical students. The authors plan to examine the relationships between student-reported well-being metrics, academic and clinical performance data, and professional identity formation. They are also prototyping electronic dashboards that will allow students to interact with their well-being data to promote timely help-seeking and behavior change.

Mindfulness-Based Student Training Improves Vascular Variability Associated With Sustained Reductions in Physiological Stress Response.

In today's fast-paced society, chronic stress has become an increasing problem, as it can lead to psycho-physiological health problems. University students are also faced with stress due to the demands of many courses and exams. The positive effects of mindfulness-based stress reduction (MBSR) on stress management and self-regulation have already been studied. We have developed a new mindfulness intervention tailored for students—the Mindfulness-Based Student Training (MBST). In this study, we present longitudinal results of the MBST evaluation. Biosignal analysis methods, including pulse wave variability (PWV), heart rate variability, and respiratory activity, were used to assess participants' state of autonomic regulation during the 12-week intervention and at follow-up. The progress of the intervention group (IGR, N = 31) up to 3 months after the end of MBST was compared with that of a control group (CON, N = 34). In addition, the long-term effect for IGR up to 1 year after intervention was examined. The analysis showed significant positive changes in PWV exclusively for IGR. This positive effect, particularly on vascular function, persists 1 year after the end of MBST. These results suggest a physiologically reduced stress level in MBST participants and a beneficial preventive health care program for University students.

Meta-analytic evidence that mindfulness training alters resting state default mode network connectivity

This meta-analysis sought to expand upon neurobiological models of mindfulness through investigation of inherent brain network connectivity outcomes, indexed via resting state functional connectivity (rsFC). We conducted a systematic review and meta-analysis of rsFC as an outcome of mindfulness training (MT) relative to control, with the hypothesis that MT would increase cross-network connectivity between nodes of the Default Mode Network (DMN), Salience Network (SN), and Frontoparietal Control Network (FPCN) as a mechanism of internally-oriented attentional control. Texts were identified from the databases: MEDLINE/PubMed, ERIC, PSYCINFO, ProQuest, Scopus, and Web of Sciences; and were screened for inclusion based on experimental/quasi-experimental trial design and use of mindfulness-based training interventions. RsFC effects were extracted from twelve studies (mindfulness n = 226; control n = 204). Voxel-based meta-analysis revealed significantly greater rsFC (MT > control) between the left middle cingulate (Hedge’s g = .234, p = 0.0288, I2 = 15.87), located within the SN, and the posterior cingulate cortex, a focal hub of the DMN. Egger’s test for publication bias was nonsignificant, bias = 2.17, p = 0.162. In support of our hypothesis, results suggest that MT targets internetwork (SN-DMN) connectivity implicated in the flexible control of internally-oriented attention.

Related factors influencing Chinese psychiatric nurses' turnover: A cross-sectional study.

Because of increasingly stressful, dangerous and unpredictable psychiatric nursing work, psychiatric nurses have experienced higher job stress than general ward nurses. Little is known about the factors that affect the turnover intention of Chinese psychiatric nurses. Understanding the influencing factors of nurses' turnover intention will help to formulate targeted measures to stabilize psychiatric nursing teams. The results showed that 70.2% of psychiatric nurses had higher turnover intention. The strong turnover intention of Chinese psychiatric nurses is a problem that needs to be considered by managers. The results showed that having more children, between 31 and 39 years old, and having a part-time job were strongly associated with turnover intention. In addition, "job stress" was also an important factor, psychiatric nurses' turnover intention decreased as their job stress level decreased. Nursing managers should pay attention to nurses who have more children, between 31 and 39 years old, and take on part-time jobs. Additionally, nursing managers should reduce job stress and implement targeted programmes to prevent psychiatric nurses' turnover. Experience-sharing meetings and mindfulness-based stress reduction training are also useful to improve the mental health status of psychiatric nurses with great job stress. Nursing managers should arrange human resources and shifts appropriately to give nurses with more children more time with their families. Provide more development opportunities for psychiatric nurses between 31 and 39 years old. Managers explore the reasons why nurses take on part-time jobs and take targeted interventions (such as increasing income) to reduce the behaviour that happens. Introduction Nurses' turnover is the main cause of nursing shortages, greatly affected by nurses' intention to leave. Nurses' turnover rate is particularly high in psychiatric wards. Several factors influencing the turnover intention of psychiatric nurses have not been well identified in China, and the association between job stress and turnover intention is still limited. Aims To examine the relationship between job stress and turnover intention and identify the influencing factors of psychiatric nurses' turnover intention. Methods Data were collected from 2355 psychiatric Chinese nurses using a cross-sectional design with an online questionnaire investigation. Results Psychiatric nurses had higher turnover intention. Significant factors influencing their turnover intention were job stress, having more children, age between 31 and 39 years old, part-time jobs, education, income and patient-to-nurse ratio. Discussion Demographics and job-related factors should be considered when developing strategies to reduce the turnover intention of psychiatric nurses. Implications for practice Nursing managers should pay attention to nurses with higher job stress levels and different demographic characteristics. Effective measures should be taken to reduce psychiatric nurses' job stress and turnover intention, such as arranging reasonable shifts, implementing targeted family-friendly policies, increasing their occupational possibilities and promoting mental health.

Longitudinal evidence for differential plasticity of cognitive functions: Mindfulness-based mental training enhances working memory, but not perceptual discrimination, response inhibition, and metacognition.

Recent decades have witnessed an increasing interest in effects of meditation-based interventions on the improvement of cognitive abilities, ranging from perceptual discrimination to metacognition. However, intervention studies face numerous conceptual and methodological challenges, and results are fairly inconsistent. In a large-scale 9-month mental training study, we investigated differential changes in different facets of cognitive functioning after training of three distinct types of mental training modules focusing on attention, socioemotional, and sociocognitive skills. We found enhanced working memory performance specifically after the mindfulness-based attention module, an effect that was positively related to training intensity, but not paralleled by reduced effects of encoding time, memory load, or proactive interference. By contrast, none of the training modules altered perceptual threshold, response inhibition, or metacognition. These findings provide benchmarks for effect-sizes in training-induced change and specify the most promising practice type as well as the underlying processes for improvements in working memory performance. (PsycInfo Database Record (c) 2022 APA, all rights reserved).